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In a study involving a large group of patients, arteriography demonstrated stenosing arteritis and atherosclerotic disease of the lateral retinacular vessels; these conditions may be an important consideration in older patients.

在一项研究中,涉及一个大集团的患者,造影显示狭窄性动脉炎和动脉粥样硬化性疾病的外侧韧带船只;这些条件可能是一个重要的考虑因素老年患者。

Background Dialysis-related amyloidosis is a serious complication for patients undergoing long-term dialysis. DRA is characterized by amyloid deposition mainly in bone and joint structures, presenting as carpal tunnel syndrome, destructive arthropathy, and subchondral bone erosions and cysts. The pathogenesis of this complication remains unknown.

目的 透析相关性淀粉样变是长期透析病人常见而严重的并发症,淀粉样沉积主要位于滑膜和韧带等骨关节组织,导致侵蚀性关节病变和多发性囊性骨损害等致残性疾病,但其病理机制仍未阐明。

Methods: 1. Experimental laparoscopic liver resection: We selected pigs as experimental models aiming to approach human beings physiological and anatomical condition. After CO2 pneumoperitoneum was established, the ligaments around liver were dissociated. Livers were cut off by the methods such as clamp dissection, microwave tissue coagulator, ultrasound dissector, Ligsure dissection, hand-assisted, short abdominal incision laparoscopy-assisted, and Endo-GIA switcher. The operation time and bleeding volume were compared between different methods of laparoscopic liver resection. The advantages and limitations of different methods were summarized. 2. Clinical laparoscopic liver resection: 15 cases with tumors in segment V of anterior right lobe or segments II, III of left lateral lobe or segment IV of left internal lobe were selected in this study. The liver diseases included hepatocellular cancer, hepatic cavernous hemangioma and hepatic focal nodular hyperplasia. The ligaments around liver were dissociated after CO2 pneumoperitoneum established. Laparoscopic liver resection were carried out by some of the methods combined such as clamp dissection, microwave tissue coagulator, hand-assisted, short abdominal incision laparoscopy-assisted, ultrasound dissector, rotation and suction dissector.

1、实验性腹腔镜肝切除:以猪为实验动物,旨在接近人体的生理、解剖环境下进行实验,建立操作空间后游离肝脏周围韧带,采用钳夹分离切肝法、微波刀切肝法、超声刀切肝法、Ligsure切肝法、手辅助腹腔镜肝切除法、小切口腹腔镜辅助切肝法、Endo-GIA切肝法等方法实施腹腔镜下肝切除,比较不同切肝方法的手术时间、出血量,总结各种方法的优越性及其局限性。2、临床腹腔镜肝切除:选择肿瘤位于肝右前叶第Ⅴ段、肝左外叶第Ⅱ、Ⅲ段及左内叶第Ⅳ段的15例患者,病种包括原发性肝癌、肝海绵状血管瘤、肝脏局灶性增生,建立气腹后游离肝脏周围韧带,采用钳夹分离断肝、微波刀固化后断肝、手辅助腹腔镜肝切除、小切口腹腔镜辅助肝切除、超声刀断肝、旋吸断肝等多种方法分离切线肝组织,暴露管道结构,再采用高频电凝、钛夹夹闭、缝扎止血、止血纱布覆盖、氩气刀止血、生物胶止血、Endo-GIA处理等多种方法相结合处理肝断面,统计手术完成情况、手术时间、手术出血量、术后并发症及术后住院时间等,评价腹腔镜肝切除的可行性及安全性。

At 8 weeks postoperatively, the grafts were mostly substituted by new cells, and the artificial ligament was completely parceled by the synovial membrane, but there were still some gaps; The combined tendon exhibited no loose or disfiguration, the infiltrative inflammatory cells disappeared. The cells in grafts were close to normal cells in anterior cruciate ligament, but fibrocytes arranged in disorder and fibers showed a verticality.

移植后第8周,移植物大部分组织被新长入的细胞替代,人工韧带被滑膜完全包裹,浸润的炎症细胞基本消失,部分接触面已融合,但部分面仍有间隙;联合肌腱无变形和松弛,移植物内细胞形态,数量接近正常前交叉韧带,但纤维细胞排列杂乱,纤维有了一定的纵向性。

Isolated rotatory dislocation is very rare in adults.11–13 Few cases of AARFs have been reported in adults, perhaps because the cause may often be a severe trauma associated with lethal injuries.3,4,12,14 –19 The mechanisms underlying persistent displacement in traumatic AARF include infolding of the synovial folds into the C1–C2 joints, muscle spasm, subsequent ligamentous contracture, articular cartilage damage, or facet fracture.1,11

离体旋转脱位在成人也很少见[11-13]。关于成人AARF病例的报道甚少,可能与严重创伤通常与高致死性损害相关[3,4,12,14 –19]。创伤性AARF持续移位的主要原因包括滑膜襞内折入C1-C2关节、肌肉痉挛、继发韧带孪缩、关节软件损伤或关节突骨折[1,11]。

The so-called Pellegrini-Stieda syndrome is typically diagnosed with the use of anteroposterior plain radiographs and is characterized by intraligamentous calcification in the region of the femoral attachment of the medial collateral ligament caused by the chronic tear of the ligament Fig.

所谓的Pellegrini-Stieda综合征一般都通过正位X线片来诊断,以内侧副韧带股骨附着点附近的韧带内钙化为特征,通常是由于韧带的陈旧性撕裂所致(图9)74。

However, chronic injuries usually require complete reconstruction of the superficial medial collateral and posterior oblique ligaments because of extensive pericapsular scar formation.

然而,陈旧性损伤由于关节囊周围广泛的瘢痕增生,往往须要对内侧副韧带前侧和后斜韧带进行完全重建。

Results:In this group there were 5 mucinous cystadenoma; 4 serous cystadenoma; 4 teratoma; 2 lager ovarian cyst; 4 subserous leiomyoma of uterine. The massive cystic-solid tumor with irregular cystic wall was seen in mucinous cystadenoma and serous cystadenoma; Teratoma appeared non homogenous density with fat density mass; Subserous leiomyoma of uterine showed large cystic tumor with clear edge, and the size of uterine was normal.

结果:5例卵巢浆液性囊腺瘤,4例黏液性囊腺瘤,CT表现为腹盆腔内巨大囊性或囊实性肿瘤,囊壁厚薄不均;4例卵巢畸胎瘤,CT表现为盆腔巨大肿瘤内部密度不均,可见脂肪密度影;卵巢巨大囊肿2例,CT表现为腹、盆内巨大单囊状肿物;4例浆膜下子宫肌瘤,CT表现为盆腔内巨大囊性肿物,边界清晰,子宫大小正常;1例阔韧带平滑肌瘤,CT表现为密度不均匀的实性肿物,增强扫描强化不均。

It suggests that the supraspinous ligaments in the patients with ossification of the ligament flavum also have an obvious tendency of ossification.

结果:胸椎黄韧带骨化症患者棘上韧带内胶原纤维增生、肿胀,出现了大量的纤维软骨细胞,甲苯胺蓝染色呈强异染性。

The long-term outcome in patients who are symptomatically stable following an ACL rupture is uncertain, although in a small cohort of elite athletes all had degenerative changes by 35 years and eight out of 19 (42%) had undergone total knee replacement.

虽然,一小组精英运动员在前交叉韧带损伤后在35岁之前都发生了退行性改变,并且19人中的8人(42)已经进行了全膝关节置换术,但是我们仍然不清楚前交叉韧带损伤后患者的症状稳定的患者的长期随访情况会是怎么样的。

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